Individual
DR. SHANNON LEE BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2560 N. SHADELAND AVENUE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8018
Mailing address
2560 N. SHADELAND AVENUE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8018
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01044695A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330226
ANTHEM
ID
Enumeration date
12/21/2005
Last updated
07/08/2007
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